Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
The relation existing between psychology and psychiatry has been placed
on a very practical basis by the studies of shell shock and other
hysterical conditions so important during the recent war. Probably
nothing will contribute more towards a recognition of the importance
of psychiatry than the discovery made early in the war that mental
diseases and defects were responsible for more disabilities than were
attributable to almost any other single cause. Certainly the inactivity
of many years has been followed by an awakening which has placed modern
psychiatry on a dignified plane and its progress will now compare
favorably with the accomplishments of any other branch of medicine.
The statement is, I think, justified, that psychiatry has been
established on a thoroughly scientific basis as the result of the work
of comparatively few years. We have, however, reached a stage where
careful analyses should be made of the clinical data upon which future
progress entirely depends.
A brief consideration of existing conditions should be sufficient to
show this conclusively. Psychiatric literature is, and for many years
has been, characterized largely by an unfortunate absence of accurate
scientific information which would warrant the conclusions reached in
many instances by the authors of our textbooks. We have been subjected
to an avalanche of theories and a remarkable paucity of facts. In the
discussion of abstract propositions where concrete evidence is not
obtainable this is of course unavoidable. There has, however, been a
very noticeable oversight of many facts which the wealth of clinical
material in our hospitals has placed at our disposal. Our literature
has been filled with too many unsubstantiated statements. There is
no reason why many of the views entertained by various authorities
should be matters of personal opinion or based entirely on individual
observation. The fact that there are over two hundred thousand cases
of mental disease in the state hospitals of this country, with an
admission rate of sixty thousand annually, is sufficient evidence to
justify the statement that there is no lack of material for accurate
studies.
Public-domain text, read in full here on John Shaqi.
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